催眠治疗对脑梗死急性期睡眠障碍患者预后的影响  

The impact of hypnotherapy on the prognosis of patients with sleep disorders during the acute phase of cerebral infarction

作　　者：梁军 吕艳华 车成娜 葛立男 LIANG Jun(The 962 Hospital of the PLA Joint Logistics Support Force,Haerbin 150086,Heilongjiang,China)

机构地区：[1]解放军联勤保障部队第962医院,黑龙江哈尔滨150086 [2]依兰县中医院,黑龙江哈尔滨154800

出　　处：《牡丹江医学院学报》2024年第6期98-100,134,共4页Journal of Mudanjiang Medical University

摘　　要：目的 评价催眠治疗对脑梗死急性期伴睡眠障碍患者神经功能康复的影响。方法 选取我院2019年1月至2023年6月收治的98例脑梗死伴睡眠障碍患者,按照随机数字表法随机分成治疗组和对照组。两组均采用脑梗死双重抗血小板治疗,治疗组在双抗治疗的基础上给予艾司唑仑片催眠治疗,保证患者睡眠时间在6 h以上。于28 d后观察治疗前后神经功能缺损评分[美国国立卫生研究院卒中量表(National lnstitute of Health stroke scale,NIHSS)]、日常生活活动能力量表评分(Activity of Daily Living Scale,ADL)变化,疗效和不良反应。结果 治疗后28 d治疗组患者的NIHSS评分(3.10±1.05),对照组(6.14±1.08),治疗组评分显著低于对照组,有显著性差异(P<0.05);而治疗组ADL评分(90.32±5.12),对照组(78.69±4.25),治疗组显著高于对照组,有显著性差异(P<0.05)。总有效率治疗组97.96%,对照组81.63%,治疗组显著高于对照组,有显著性差异(P<0.05)。治疗后28 d治疗组不良反应发生率20.41%,对照组不良反应发生率22.45%,两组不良反应发生率无统计学差异(P>0.05)。结论 脑梗死急性期睡眠障碍患者进行催眠治疗,保证患者睡眠时间在6 h以上,可促进脑梗死后神经功能的恢复,且无明显不良反应。Objective To evaluate the impact of hypnotherapy on the neurological rehabilitation of patients with sleep disorders during the acute phase of cerebral infarction.Methods 98 patients with cerebral infarction and sleep disorders admitted to our hospital from January 2019 to June 2023 were randomly assigned to a treatment group and a control group using the random number table method.Both groups received dual antiplatelet therapy for cerebral infarction.The treatment group received additional hypnotic therapy with estazolam tablets to ensure over 6 hours of sleep.The changes in the National lnstitute of Health Stroke Scale(NIHSS) and the Activity of Daily Living Scale(ADL) scores as well as therapeutic efficacy and adverse reactions,were observed after 28 days of treatment.Results After 28 days,the NIHSS score in the treatment group(3.10±1.05) was significantly lower than that in the control group(6.14±1.08),with a statistically significant difference(P<0.05).The ADL score in the treatment group(90.32±5.12) was significantly higher than that in the control group(78.69±4.25),also showing a statistically significant difference(P<0.05).The total effective rate of treatment group(97.96%) was significantly higher than the control group(81.63%)(P<0.05).The incidence of adverse reactions in the treatment group was 20.41% and that in the control group was 22.45%,with no significant difference(P>0.05).Conclusion Hypnotherapy for patients with sleep disorders in the acute phase of cerebral infarction,ensuring over 6 hours of sleep,can promote the recovery of neurological function after cerebral infarction without obvious adverse reactions.

关 键 词：脑梗死 睡眠障碍 催眠 

分 类 号：R743.3[医药卫生—神经病学与精神病学]